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猫胃肠道内的缝线和缝针异物:64例病例回顾

Thread and sewing needles as gastrointestinal foreign bodies in the cat: a review of 64 cases.

作者信息

Felts J F, Fox P R, Burk R L

出版信息

J Am Vet Med Assoc. 1984 Jan 1;184(1):56-9.

PMID:6698839
Abstract

Sixty-four cases of gastrointestinal linear foreign body in the cat were reviewed. Most of the cats were less than 4 years old. The most common clinical signs were persistent vomiting, partial to complete anorexia, and depression. Abdominal palpation by itself was rarely diagnostic. Diagnosis in approximately 75% of the cases was possible, however, by using a combination of oral examination and abdominal palpation. Survey radiography contributed to the diagnosis in 86% of the cases in which it was used, based on evidence of bowel plication, presence of tapered, enteric gas bubbles, gathering of the small intestine, peritonitis, intestinal needles, or bowel obstruction. Surgery (gastrotomy and multiple enterotomies) was necessary in 96.9% of the cases, and most of the cats so treated did well (83.9%). Approximately 50% of the cats with linear foreign body-induced bowel lacerations recovered.

摘要

回顾了64例猫胃肠道线性异物病例。大多数猫年龄小于4岁。最常见的临床症状是持续性呕吐、部分至完全厌食和抑郁。单纯腹部触诊很少能确诊。然而,通过口腔检查和腹部触诊相结合,约75%的病例可以确诊。根据肠襞、锥形肠内气泡、小肠聚集、腹膜炎、肠针或肠梗阻的证据,在86%使用造影检查的病例中,造影检查有助于诊断。96.9%的病例需要手术(胃切开术和多处肠切开术),大多数接受治疗的猫恢复良好(83.9%)。约50%因线性异物导致肠撕裂的猫康复。

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